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Prophylaxis of Post-Inflammatory Hyperpigmentation From Energy-Based Device Treatments: A Review.
Ian T Y Wong1, Vincent Richer1,2
112358 Department of Dermatology and Skin Science, University of British Columbia, Vancouver, BC, Canada.
Journal of Cutaneous Medicine and Surgery
|September 15, 2020
Summary
Preventing post-inflammatory hyperpigmentation (PIH) is crucial, especially for individuals with skin of color. This review examines current literature on prophylaxis strategies to avoid PIH after energy-based device treatments.
Area of Science:
- Dermatology
- Aesthetics
Background:
- Post-inflammatory hyperpigmentation (PIH) is a common concern following skin trauma or procedures.
- It disproportionately affects individuals with darker skin tones, causing significant psychosocial distress.
- Current management often focuses on treatment rather than prevention, with limited evidence-based consensus on prophylaxis.
Purpose of the Study:
- To review the existing literature on strategies for preventing PIH after energy-based device treatments.
- To consolidate evidence on both pre- and post-treatment prophylactic measures.
Main Methods:
- Systematic review of published literature on PIH prophylaxis.
- Analysis of pretreatment and post-treatment strategies for PIH prevention.
- Focus on prophylaxis related to energy-based device procedures.
Main Results:
- Prophylaxis strategies include pretreatment with agents like alpha hydroxy acids, retinoids, hydroquinone, and brimonidine.
- Post-treatment prophylaxis involves photoprotection, corticosteroids, and tranexamic acid.
- Evidence-based consensus on optimal PIH prophylaxis is lacking.
Conclusions:
- Effective PIH prophylaxis is essential for managing patients undergoing energy-based device treatments.
- Further research is needed to establish evidence-based guidelines for PIH prevention.
- A combination of pretreatment and post-treatment strategies may be most effective.
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